Gibree, Quirt, Mongrain, P.c.
NPI #1942978986 in Walla Walla, Washington
Provider Information
- NPI Number
- 1942978986
- Entity Type
- Organization
- Organization Name
- Gibree, Quirt, Mongrain, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GIBREE, QUIRT, MONGRAIN, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 3, 2021
- Last Updated
- Mar 29, 2023
Practice Location
- Address
- 1129 S 2ND AVE STE A
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-4100
- Phone
- (509) 522-2522
Authorized Official
- Name
- HANNAH FISH
- Title
- CREDENTIALING MANAGER
- Phone
- (217) 540-5699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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